Medicare Advantage
HEALTH PLANS NATIONWIDE OUTSOURCE THEIR MEDICARE ADVANTAGE OPERATIONS TO TMG HEALTH
Health Care insurers throughout the U.S. are facing significant challenges fueled by recent economic and social issues. The impacts of financial and political change are sweeping through the health care industry and creating new levels of risk. Nowhere is this sea change more pronounced than in government-sponsored programs such as Medicare Advantage and Medicaid Managed Care.
For Health Plans engaged in the highly regulated Medicare and Medicaid markets, closely managing the details makes all the difference. TMG Health’s government program experience and customized systems are ready to handle the unique requirements of Medicare Advantage and Medicaid plan administration.
TMG HEALTH HELPS TO REDUCE COSTS
Health Plans are facing many challenges…lower reimbursements, increasing competition and new, more complex CMS regulations. All of these issues combine to make it far more difficult to profitably manage products in the government health plan marketplace. TMG offers Health Plans a means to deliver high quality, differentiating government health products with predictable administrative costs. TMG also offers much lower and “fixed” capital cost relative to the volatile costs associated with internally managed products.
TMG Health offers the flexibility and speed to market that you need to support expansion into new markets as well as respond to changing market conditions. Our scalable processes, systems and the knowledge gained from implementing dozens of government sponsored plans, combine to deliver rapid, stable and successful plan launches enabling continued growth and high levels of service from day one.
TMG Health was recently named the #1 provider of Business Process Outsourcing services to the government health program market for the second year in a row by the Black Book of Outsourcing. This honor is driven by TMG Health’s:
- Optimized Business Agility
IS YOUR MANAGED CARE SYSTEM AS CURRENT AS IT SHOULD BE?
The increasing demands of complicated government processes, escalating regulatory scrutiny, system acquisition/maintenance costs and rising labor expenses present significant challenges in today’s chaotic economy. TMG Health combines the industry-leading Facets system with its own proprietary Medicare and Medicaid applications plus a full complement of highly experienced support personnel. TMG Health guarantees system performance and compliance with CMS and state regulations.
Are you satisfied with the operational performance of your Medicare and Medicaid programs?
Is there a better alternative?
TMG Health guarantees operational performance ensuring quality services along with satisfied providers and members.
TMG Health’s suite of outsourced solutions include:
TMG Health’s BPO services provide comprehensive solutions to the challenges of administering high risk, low margin and uniquely complex government health products such as Medicare Advantage, Part D, Medicaid Managed Care and SCHIP. By applying constant monitoring techniques and utilizing industry best practices in program administration, we are able to provide our clients with a “rapid response system” that optimizes control, conserves resources and ensures compliance. We can eliminate the potential for a Health Plan to be blindsided by a problem by proactively alerting our clients of issues before they become crises. TMG Health’s use of consistent, proven business processes means repeatable success for
your plan.